Jessica Maldonado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

54995 Issued in TX

Practice address

318 E Nakoma St Ste 106
San Antonio, TX 78216-2750

Phone

(210) 365-0102

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nueva Vida Behavioral Health Associates,Inc

  • Professional Counselor
  • San Antonio, TX
  • NPI 1669565529
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, TX

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1114754702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E NAKOMA ST STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162750",
            "telephone_number": "210-365-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E NAKOMA ST STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162750",
            "telephone_number": "210-365-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 E Nakoma St Ste 210",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782162752",
            "country_code": "US",
            "telephone_number": "210-365-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Harvey Maldonado, O.D.
• Gerardo Maldonado III, M.D.
• Humberto Max Maldonado, LPC
• Jacquelyn Maldonado
• Jaquelin Maldonado
• Jorge Luis Maldonado, M.D.
• Laura Ann Maldonado
• Lauren Maldonado
• Leana Maldonado
• Liza Yvette Maldonado, PSY.D.

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.